• Medicaid Fraud Control

    Idaho Division of Human Resources (Boise, ID)
    Medicaid Fraud Control Unit Investigative Auditor , OAG Posting Begin Date: 2024/10/17 Posting End Date: 2024/12/20 Category: Audit Sub Category: Program ... the the Investigative Auditor position will be assigned to the Attorney General's Medicaid Fraud Control Unit (MFCU). The federally funded and mandated… more
    Idaho Division of Human Resources (10/18/24)
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  • Medicaid Fraud Control

    Idaho Division of Human Resources (Boise, ID)
    Medicaid Fraud Control Unit Investigator A Posting Begin Date: 2024/09/09 Posting End Date: 2024/11/08 Work Type: Full Time Remote: Flexible Hybrid ... Primary Duties: The successful applicant will be assigned to the Attorney General's Medicaid Fraud Control Unit (MFCU). This investigator will be… more
    Idaho Division of Human Resources (09/23/24)
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  • Senior Fraud and Waste Investigator,…

    Humana (Indianapolis, IN)
    …point of contact for the OMPP Program Integrity (OMPP PI) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of ... community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program...FWA activities in Ohio to increase Medicaid program transparency and accountability. _Essential Functions and Responsibilities_… more
    Humana (10/25/24)
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  • Legal Nurse: Medical Analyst Support…

    New York State Civil Service (New York, NY)
    … program. Duties Description The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced ... Agency Attorney General, Office of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade NS… more
    New York State Civil Service (10/02/24)
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  • Lateral Attorney: Investigate & Prosecute…

    New York State Civil Service (New York, NY)
    …GeneralReference No. MFCU_NYC_SAAG_3726The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks attorneys ... condition of employment. Duties Description Division of Criminal JusticeMedicaid Fraud Control Unit - New...claims; and the extradition, arrest, and arraignment of a Medicaid fraud ringleader. Additional Comments As an… more
    New York State Civil Service (10/01/24)
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  • Lateral Attorney: Lead Complex Civil Fraud

    New York State Civil Service (New York, NY)
    …who are seeking to expand their range of skills. Duties Description Division of Criminal Justice Medicaid Fraud Control Unit - New York City Special ... their range of skills.The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks experienced litigators to serve… more
    New York State Civil Service (09/18/24)
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  • Law Enforcement Investigator II

    MyFlorida (Tampa, FL)
    …States. Position Summary: This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida. This position ... is in the Medicaid Fraud Unit . The Attorney General's Medicaid Fraud Control Unit is a Florida-certified law enforcement agency. The duties… more
    MyFlorida (10/24/24)
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  • Investigative Analyst Specialist

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …11:59 PM Central + Description + Benefits Supplemental Information The Office of Attorney General/ Medicaid Fraud Control Unit has a vacancy. The ... + Experience in healthcare fraud investigation within a government agency or Medicaid fraud control unit ; + Proficiency with data visualization tools… more
    Louisiana Department of State Civil Service (10/20/24)
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  • Audit Evaluation & Review Analyst - 1

    MyFlorida (Miami, FL)
    …States. Position Summary: This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida and involves ... reviews of financial evidence gathered in accordance with the Agency's and the Medicaid Fraud Control Unit 's (MFCU) standard operating procedures, the US… more
    MyFlorida (10/13/24)
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  • Senior Consumer Service Analyst

    MyFlorida (Tallahassee, FL)
    …resources and programs, and conducting intake services for the OAG's Consumer Protection Division, Medicaid Fraud Control Unit ., Lemon Law, and more. ... Florida, including in areas of criminal appeals, civil litigation, consumer protection, Medicaid fraud , and victims and civil rights. We invite you to visit our… more
    MyFlorida (10/18/24)
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  • Investigator/Special Agent (1-3)

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …and provides investigative services in cyber crimes, white collar crimes, and public corruption. Medicaid Fraud Control Unit : The Louisiana Medicaid ... is to investigate and prosecute health care providers who have defrauded the Medicaid program. The MFCU also investigates and prosecutes allegations of abuse, and… more
    Louisiana Department of State Civil Service (10/14/24)
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  • Assistant Attorney General (1-6)

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …of criminal matters. The Criminal Division also serves, but not limited to, the following: + Medicaid Fraud Control Unit : The Louisiana Medicaid ... + Civil + Collections + Criminal + Federalism + Gaming + Litigation + Medicaid Fraud Control + Public Protection + No Preference Required Question Agency… more
    Louisiana Department of State Civil Service (10/19/24)
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  • Assistant Attorney General-DLA

    MyFlorida (Miami, FL)
    …position is for a criminal prosecutor in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida. Pay: $98,262.06 ... the following: + Represent the State of Florida in all Medicaid Fraud Cases, handle settlement negotiations, pleadings, depositions, pre-trial, jury and non-jury… more
    MyFlorida (10/24/24)
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  • Provider Liaison

    MyFlorida (Miami, FL)
    …the Quality Improvement Organization (QIO), Medicaid Program Integrity (MPI), and the Medicaid Fraud Control Unit (MFCU) all while upholding ... HIPAA requirements. The incumbent's duties include but are limited to the following: The Work You Will Do + Review QIO reports and identify deficiencies needing correction. Notify the provider of deficiencies needing correction and provide a plan of… more
    MyFlorida (10/24/24)
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  • Legal Assistant III

    MyFlorida (Pensacola, FL)
    …Position Summary: This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Pensacola, Florida. Pay: $45,488.18 ... the examples listed above and may vary based on the tasks applicable to the assigned Unit . The Benefits of Working for the State of Florida: Working for the State of… more
    MyFlorida (10/24/24)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    …and revise procedures as necessary. - Direct the planning of data quality and control measures governing the Triage unit . Ensure that systems and applications ... area manages the following five units: Data Analytics, Data Reporting, Triage Unit , Investigation & Administrative Unit (IARU) and Information Systems Technology… more
    City of New York (09/27/24)
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  • Medicare Compliance Officer

    Centene Corporation (Austin, TX)
    …with the SIU, collaborating with other sponsors, State Medicaid programs, Medicaid Fraud Control Units, commercial payers, and other organizations ... retaliation, good faith concerns regarding Medicare non-compliance and potential instances of fraud , waste and abuse (FWA) + Responding to reports of potential FWA,… more
    Centene Corporation (09/20/24)
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  • Preschool Integrated Classroom Para Educator…

    Davenport Community Schools (Davenport, IA)
    …employees working with/for Special Education students will be required to pass the Medicaid Fraud background check, prior to hire, successfully applying, and/or ... Education & $15.21/hr Special Education.Current employees in the bargaining unit : Please refer to the salary schedule established by...If at any time your name appears on the Medicaid Fraud listing, you will be notified… more
    Davenport Community Schools (08/30/24)
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  • Hearing Officer or Assistant Attorney 1 or 2…

    New York State Civil Service (Buffalo, NY)
    …Hearing Officer (NY HELPS) Occupational Category Legal Salary Grade 25 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range From $93530 ... administered by OTDA and other Executive agencies (eg, the Department of Health's Medicaid program, the Office of Children and Family Services' foster care and… more
    New York State Civil Service (10/04/24)
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  • Ops Senior Licensed Practical Nurse

    MyFlorida (Gainesville, FL)
    …from APD and other agencies, such as law enforcement, DCF Adult Protective Services, Medicaid Fraud Unit , and the Agency for Healthcare Administration. ... Maintains work area, medical supplies, and equipment, and adheres to infection control policies. + Accompanies individuals to clinic and off-center appointments as… more
    MyFlorida (10/24/24)
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